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Home My WebLink About2005-105 Grant - Childrens Dental CITY OF ASHLAND FINANCIAL ASSISTANCE AWARD CONTRACT CITY: CITY OF ASHLAND GRANTEE: Children's Dental Clinic 20 E Main Street Address: 2825 E. Barnett Rd Ashland OR 97520 Medford, OR 97504 (541 ) 488-5300 FAX: (541) 488-5311 Date of this agreement: July 1,2005 - June 30,2007 1{. Amount of grant:$3,000 which will be disbursed in two amounts, half at July 1, 2005 and the remainder adjusted for inflation at July 1, 2006. 1{. Budget subcommittee: Social Services Contract made the date specified above between the City of Ashland and Grantee named above. RECITAL: City has reviewed Grantee's application for a grant and has determined that the request merits funding and the purpose for which the grant is awarded sen/es a public purpose. City and Grantee agree: 1. Amount of Grant. Subject to the terms and conditions of this contract and in reliance upon Grantee's approved application, the City agrees to provide funds in the amount specified above. 2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in the grant application with modifications, if any, made by the budget subcommittee designated above. 3. Unexpended Funds. Any grant funds held by the Grantee remaining after the purpose for which the grant is awarded or this contract is terminated shall be returned to the City within 30 days of completion or termination. 4. Financial Records and In~pection. Grantee shall maintain a complete set of books and records relating to the purpose for which the grant was awarded in accordance with generally accepted accounting principles. Grantee gives the City and any authorized representative of the City access to and the right to examine all books, records, papers or documents relating to the use of grant funds. 5. Living Wage Requirements. If the amount of this contract is $16,379 or more, and if the Grantee has ten or more employees, then Grantee is required to pay a living wage, as defined in Ashland Municipal Code Chapter 3.12, to all employees and subconltractors who spend 500/0 or more of their time within a month performing work under this contract. Grantees required to pay a living wage are also required to post the attached notice predominantly in areas where it will be seen by all employees. 6. Default. If Grantee fails to perform or observe any of the covenants or agreements contained in this contract or fails to expend the grant funds or enter into binding legal Grant Contract 2005-06 agreements to expend the grant funds within twelve months of the date of this contract, the City, by written notice of default to the Grantee, may terminate the whole or any part of this contract and may pursue any remedies available at law or in equity. Such remedies may include, but are not limited to, termination of the contract, stop payment on or return of the grant funds, payment of interest earned on grant funds or declaration of ineligibility for the receipt of future grant awards. 7. Amendments. The terms of this contract will not be waived, altered, modified, supplemented, or amended in any manner except by written instrument si~lned by the parties. Such written modification will be made a part of this contract and subject to all other contract provisions. 8. Indemnity. Grantee agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogation's, or other damages resulting from injury to any person (including injury resulting in death,) or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this agreement by GrantE~e (including but not limited to, Grantee's employees, agents, and others designated by Grantee to perform work or services attendant to this agreement). Grantee shall not be held responsible for damages caused by the negligence of City. 9. Insurance. Grantee shall, at its own expense, at all times for twelve monjths from the date of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, and owner's and contractor's protective insurance. The liability under each policy shall be a minimum of $:500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Liability coverage shall be provided on an "occurrence" not "claims" basis. The City of Ashland, its officers, employees and agents shall be named as additional insured's. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the expenditure of any grant funds. 10. Merger. This contract constitutes the entire agreement between the parties. There are no understandings, agreements or representations, oral or written, not specified in this contract regarding this contract. Grantee, by the signature below of its authorized representative, acknowledges that it has read this contract, understands it, and agrees to be bound by its terms and conditions. GRANTEE. S By (l~ '> t. ~l1-u Title ClU1~~/()VfC~ By CITY OF ASHLAND By_ L:1%I ~ Finance Dire r Date 6,/~;) Title Date ~ 1~/o S , Account Number (for City use only) Grant Contract 2005-06 CHILDREN'S DENTAL CLINIC of Jackson County 2825 East Barnett Road · Medford, Oregon 97504 · 541/608-4249 · Fax 541/282-6765 June 23, 2005 Dear City of Ashland; I am in receipt of the contract for our grant for free dental services for children of low- income families. As is the past, we cannot provide proof of insurance. The Children's Dental Clinic requires each of our volunteer dentists to carry a minimum of $500,000 malpractice coverage. We do keep copies of each dentist's proof of insurance on file. I am enclosing, however, a copy of Director's and Officer's insurance. If this is not sufficient, please let me know. Respectfull y, Q.~)l, 6Jru Debra M. Silva Clinical Director BROGUE VALLEY !DMEDICAL CENTER a member of Asante" health system . United Way member agency ~ Not For Profit Organization Liability' Policy CHUBB . --._--_..---,--,._---~-~..-."- -- -~ ----..-----.-... - Chubb Group of Insurance Companies 15 Mountain View Road Warren, New Jersey 07059 DECLARATIONS Policy Number 8168-924'7 Northwestern Pacific Indemnity Company, a stock insurance company, incorporated under the laws of Oregon, herein called the Company. THIS IS A CLAIMS MADE POLICY. THIS POLICY COVERS ONLY CLAIMS FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD. PLEASE READ CARE'FULL Y. Item 1. Organization: CHILDREN'S DENTAL CLINIC OF JACKSON COUNTY 2825 BARNETT ROAD Medford, OR 97504 Item 2. Limits of Liability: (A) Each Loss $500,000.00 (B) Each Policy Year $500,000.00 Note that the limits of liability and deductible are reduced or exhausted by Defense Costs. Item 3. Policy Period: From 12:01 a.m. on February 1, 2005 To 12:01 a.m. on February 1,2006 Local time at the Organization's address Item 4. Deductible Amount: (A) Non-Indemnifiable Loss None (B) Indemnifiable Loss $5,000.00 Item 5. Extended Reporting Period (A) Additional Premium: $2,700.00 (B) Additional Period: 1 year Item 6. Pending or Prior Date: February 1, 2002 Item 7. Termination of Prior Policies: 8168-9247 (February 1,2004 - February 1,2005) In witness whereof, the Company issuing this policy has caused this policy to be signed by its authorized officers, but it shall not be valid unless also signed by a duly authorized representative of the Company. NORTHWESTERN PACIFIC INDEMNITY COMPANY 71~ A /./-lJ ~~-~ Secretary President 01/14/05 Date w-~ Authorized Representative Form 14-02-2042 (Ed. 5/96) Page 1 of 10